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Eleventh Five Year Plan

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100 <strong>Eleventh</strong> <strong>Five</strong> <strong>Year</strong> <strong>Plan</strong>and well-being will depend on research that does thefollowing:• Increases understanding of both the molecular andbiological mechanisms underlying diseases as wellas the psychosocial, economic, and environmentaldeterminants of health• Develops new vaccines, diagnostic tools, and costeffectivetherapies• Deepens understanding of underlying social andbehavioural causes of injuries and lifestyle diseases• Links health with S&T, engineering, and relateddisciplines• Promotes healthy living and reduces risk behavioursFrom Vertical to Horizontal:Affecting Integration3.1.167 The <strong>Eleventh</strong> <strong>Five</strong> <strong>Year</strong> <strong>Plan</strong> will not allow anyvertical structures to be created below district levelunder different programmes. The existing programmeswill be integrated horizontally at the district level,as the emphasis during the <strong>Plan</strong> would be systemcentricrather than disease centric. Already underNRHM, some programmes like the ones dealingwith vector-borne diseases, tuberculosis, leprosy,blindness, and iodine deficiency disorders (IDD) havebeen integrated under a single District Health Society.Other programmes and activities described belowwill also be brought under one umbrella.NATIONAL AIDS CONTROL PROGRAMME (NACP)3.1.168 During the <strong>Eleventh</strong> <strong>Five</strong> <strong>Year</strong> <strong>Plan</strong>, the NACPhas set the goal to halt and reverse the epidemic inIndia over the next five years by integrating programmesfor prevention, care, support, and treatment andalso addressing the human rights issues specific topeople living with HIV/AIDS (PLWHA). The specificobjectives are to reduce new infections by 60% in highprevalence States so as to obtain reversal of the epidemicand by 40% in the vulnerable States so as tostabilize the epidemic.3.1.169 In order to achieve the objectives, the followingstrategies will be adopted:• Preventing new infections in high risk groups andgeneral population through:– Saturation of coverage of high risk groups withtargeted interventions.– Scaled up interventions in the general population.• Increasing the proportion of PLWHA who receivecare, support, and treatment.• Strengthening the infrastructure, system, and humanresource in prevention, care, support, andtreatment programmes at the district and nationallevels.• Enacting and enforcing national legislation prohibitingdiscrimination against PLWHA and theirfamilies in health facilities, schools, places of employment,and other institutions.• Including mechanisms for victims and theirguardians to lodge complaints and receive quickredressal.• Ensuring that women and children living with HIV/AIDS receive medical care, including antiretroviral(ARV) treatment and use all possible means toremove barriers to their receiving care.• Strengthening a nation-wide strategic informationmanagement system.• Advancing R&D of vaccines suitable for the strainsof HIV prevalent in India.NATIONAL CANCER CONTROL PROGRAMME (NCCP)3.1.170 During the Tenth <strong>Five</strong> <strong>Year</strong> <strong>Plan</strong>, a taskforcecomprising experts from across the country wasconstituted. Based on recommendations from thenational taskforce a comprehensive NCCP will beimplemented during the <strong>Plan</strong>. The main activitiesduring the <strong>Plan</strong> will be:• Establishing new Regional Cancer Centres• Upgradation of the existing Regional Cancer Centresbased on their performance and linkages withother cancer organizations in the region.• Creating skilled human resources for quality cancercare services• Training health care providers for early detectionof cancers at primary and secondary level• Increasing accessibility and availability of cancercare services• Providing behavioural change communicationalong with provision of cost effective screeningtechniques and early detection services at the doorstep of community

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